Asthma forms part of the clinical domains area of QOF.
There are 4 Asthma QOF indicators:
AST005 – includes patients aged 6 years and over with an unresolved asthma diagnosis AND have been prescribed asthma medication in the last 12 months.
Please note - if the patient has not been prescribed any asthma medication in this timeframe, they will no longer be on the asthma QOF register. It may be worth checking if the patient has been prescribed any asthma medication outside of the practice (e.g at the hospital, out-of-hours services) and if appropriate, add the medication to the patient record to include them on the register.
AST011 – includes asthma patients diagnosed on or after 1 April 2023 with spirometry and one other objective test (FeNO, reversibility, or variability) recorded within 3 months before or 6 months after diagnosis.
If the patient is newly registered at the practice within the last 12months and the diagnosis was recorded on or after the 1st April 2023 then these tests can be done within 6 months of the registration.
A personalised care adjustment (PCA) can be applied if the spirometry has been declined, contraindicated or unavailable or if the FeNO test service is not available.
AST007 – includes asthma patients who have had a review in the last 12 months. The review must include an assessment of the asthma control score (ACT), a recording of the number of exacerbations, an assessment of inhaler technique AND a written personalised action plan.
Please note - the action plan must be completed on the same date as the annual review; however, the ACT and exacerbations can be recorded up to 1 month before the review.
AST008 – asthma patients aged 19 years or under with a recorded smoking status or exposure to second hand smoke in the last 12 months.
A PCA decline code can be added to patients that do not wish to disclose their smoking status.
Please note – for all asthma indicators, patients will be removed from the denominator population if they meet and have been appropriately coded with the following:
- not responded to 2 invitation codes (invitation codes must be 7 days apart).
- they have been newly diagnosed with asthma in the last 3 months of the fiscal year.
- they have been newly registered at the practice in the last 3 months of the fiscal year.
- they have a declined asthma monitoring code recorded this fiscal year.
- they have an asthma quality unsuitable code recorded this fiscal year.
AST005 - The contractor establishes and maintains a register of patients with asthma aged 6 years or over, excluding patients with asthma who have been prescribed no asthma related drugs in the preceding 12 months.
AST011 - The percentage of patients with a diagnosis of asthma on or after 1 April 2023 with either: 1. A record of quality assured spirometry and one other objective test (FeNO or, bronchodilator reversibility or peak flow variability) between 3 months before or 6 months after diagnosis; or 2. If newly registered in the preceding 12 months with a diagnosis of asthma recorded on or after 1 April 2023 but no record of objective tests being performed at the date of the registration, with a quality assured spirometry and one other objective test (FeNO or bronchodilator reversibility or peak flow variability) recorded within 6 months of the registration.
AST007 - The percentage of patients with asthma on the register, who have had an asthma review in the preceding 12 months that includes an assessment of asthma control using a validated asthma control questionnaire, a recording of the number of exacerbations, an assessment of inhaler technique and a written personalised action plan.
AST008 - The percentage of patients with asthma on the register aged 19 or under, in whom there is a record of either personal smoking status or exposure to second-hand smoke in the preceding 12 months.
Ardens EMIS Resources to support Asthma for QOF
The following template are available to support staff with recording QOF activity for asthma patients.
- Chronic Disease Templates - the Ardens Asthma template contains a QOF only page for capturing all QOF requirements for the current financial year.
- Multi-Morbidity Templates – for patients with multiple long-term conditions and to capture all QOF requirements for all conditions relevant to the specific patient.
- Spirometry template – to assist with performing and interpretation of spirometry.
- FeNO Testing Template - to assist with the recording of the FeNO test procedure and any results, and referrals made.
The following searches are available to support staff with achieving your QOF asthma indicators.
- Ardens LTC Recall System - a month of birth recall system, designed to recall a patient for multiple QOF conditions at once. These searches will ensure your asthma patients are attending their annual review.
- QOF Misc Searches - includes searches to identify patients that have not had the full elements of their asthma review.
- QOF Indicator Overview Searches – searches to identify overall outstanding QOF work.
- Chronic Disease Risk Stratification Searches – searches to enable practices to prioritise reviews for high-risk asthma patients.
- Case Finders Searches - contains a suite of searches to identify potential asthma patients missing from your practice QOF register.
- Time Sensitive QOF Searches – searches to help achieve the AST006 time limited indicator.
- QOF Monitor Dashboard – works with Ardens Manager QOF dashboard to allow a visual of QOF performance in monetary and points values.
The following are examples of real-time alerts available by default to alert practice staff of data quality issues which are affecting the asthma QOF achievement.
If you require any further assistance on the process above, please contact Ardens support on: email@example.com